Shuntogram nonvascular supervision & interpretation at JFK Johnson Rehabilitation Institute (JRI)
65 James Street, Edison, NJ · Hackensack Meridian Health · · NPI 1275107344
$117.81
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$475.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$76.48 with AETNA vs $449.35 with AMERIHEALTH — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $76.48 | ↓ -35% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $81.65 | ↓ -31% |
| CLOVER | MEDICARE ADVANTAGE | $85.50 | ↓ -27% |
| HORIZON | MANAGED MEDICAID | $90.49 | ↓ -23% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $102.13 | ↓ -13% |
| HORIZON | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| WELLCARE | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| WELLCARE | MANAGED MEDICAID | $106.34 | ↓ -10% |
| AETNA | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| VACCN | ALL PRODUCTS | $106.34 | ↓ -10% |
| AMERIGROUP | MEDICARE ADVANTAGE | $106.34 | ↓ -10% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $111.66 | ↓ -5% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $117.81 | ↑ +0% |
| KARNA | MEDICARE ADVANTAGE | $157.85 | ↑ +34% |
| CIGNA | HMO | $243.31 | ↑ +107% |
| CIGNA | PPO | $243.31 | ↑ +107% |
| UNITED HEALTHCARE | HMO | $312.47 | ↑ +165% |
| OXFORD | ALL PRODUCTS | $312.47 | ↑ +165% |
| INTERGROUP | WORKERS COMP | $332.50 | ↑ +182% |
| INTERGROUP | SHARED SAVINGS | $332.50 | ↑ +182% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $332.50 | ↑ +182% |
| HORIZON | WORKERS COMP | $347.23 | ↑ +195% |
| HORIZON | PIP | $347.23 | ↑ +195% |
| HORIZON | OMNIA | $349.51 | ↑ +197% |
| BERGEN RISK | ALL PRODUCTS | $356.25 | ↑ +202% |
| QUALCARE | WORKERS COMP | $367.18 | ↑ +212% |
| QUALCARE | PPO | $367.18 | ↑ +212% |
| QUALCARE | HMO | $367.18 | ↑ +212% |
| PRIME HEALTH | WORKERS COMP | $380.00 | ↑ +223% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $380.00 | ↑ +223% |
| PRIME HEALTH | AUTO INSURANCE | $380.00 | ↑ +223% |
| AETNA | ASA | $399.00 | ↑ +239% |
| AETNA | PPO | $399.00 | ↑ +239% |
| AETNA | HMO | $399.00 | ↑ +239% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $403.75 | ↑ +243% |
| HORIZON | SHP | $416.67 | ↑ +254% |
| HORIZON | HMO | $431.25 | ↑ +266% |
| HORIZON | INDEMNITY | $436.95 | ↑ +271% |
| HORIZON | PPO | $441.42 | ↑ +275% |
| AMERIHEALTH | LOCAL HMO | $449.35 | ↑ +281% |
| AMERIHEALTH | REGIONAL HMO | $449.35 | ↑ +281% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Shuntogram nonvascular supervision & interpretation at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $181.31 | $42.49 – $308.97 |
| Cooperman Barnabas Medical Center | Livingston | $175.66 | $57.73 – $308.97 |
| Community Medical Center | Toms River | $200.34 | $57.73 – $308.97 |
| Newark Beth Israel Medical Center | Newark | $172.68 | $43.74 – $308.97 |
| Monmouth Medical Center | Long Branch | $211.36 | $57.73 – $308.97 |
| Bayshore Medical Center | Holmdel | $117.70 | $58.94 – $295.04 |
| Hackensack University Medical Center | Hackensack | $125.23 | $52.33 – $336.99 |
| Ocean University Medical Center | Brick | $116.22 | $58.94 – $236.91 |